Active NPI
Candice Marie Bryson
- Addiction (Substance Use Disorder) Counselor
- Cincinnati, OH
National Provider Identifier
1598223992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 311 Martin Luther King Dr
Cincinnati, OH 45220 - Phone
- (513) 475-5300
- NPI assigned
- Mar 5, 2019
- Last updated
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
311 Martin Luther King Dr
Cincinnati, OH 45220
Mailing address
5400 Edalbert Dr
Cincinnati, OH 45239-7604
Phone (513) 741-3100
Other practice location 1
5400 Edalbert Dr
Cincinnati, OH 45239-7604
Phone (513) 741-3100
Other names 1
- Candice Marie Sy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1598223992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 EDALBERT DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452397604",
"telephone_number": "513-741-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MARTIN LUTHER KING DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45220",
"telephone_number": "513-475-5300"
}
],
"practiceLocations": [
{
"address_1": "5400 Edalbert Dr",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452397604",
"country_code": "US",
"telephone_number": "513-741-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYSON",
"first_name": "CANDICE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDICE",
"last_name": "SY",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.